Chapter 191 Junior Brother Zhou, Incurable Crohn’s Disease

Author: Jiangbian Yuweng

Chapter 191 Junior Brother Zhou, Incurable Crohn’s Disease

Judging from her description, chronic ulcerative colitis is more likely.

The risk of intestinal polyps and intestinal cancer also exists.

Considering that she is still very young, only in her twenties, which is exactly the same age as Hua'er, the risk of bowel cancer is low.

In addition, she was diagnosed and treated at a local hospital and the diagnosis was enteritis.

But the effect after taking the medicine was not good.

In addition, she is now experiencing vomiting symptoms. Even if it is indeed enteritis, it is an extremely dangerous type.

"Qiuhong, let's do a physical examination on her first."

Director Jia may have considered that the patient was a female, so he asked female doctor Qiu Hong to perform a physical examination on her.

In fact, in the eyes of doctors, there is really no distinction between men and women.

Female patients have a high chance of meeting a male doctor when they take an electrocardiogram. There are also many male doctors who treat breast diseases. During the physical examination, the female patient will be asked to lift her top, and then the doctor will perform palpation and visual examination.

Depending on the hospital's requirements, a female nurse or doctor will be present.

If there are only male doctors and female patients, if the patient says that the male doctor molested her, she would have to jump into the Yellow River to wash it off.

Also, female patients can ask their husbands or other relatives to accompany them when they seek medical treatment.

Family members can enter the outpatient clinic.

Only the operating room, examination room, and intensive care unit are not allowed to allow family members to enter.

The emergency room depends on the situation. In principle, family members are not allowed in. However, after the rescue is completed, or the doctor feels it is necessary to have family members nearby to encourage the patient and stimulate the patient's desire to live.

Family members will be invited to come in.

The physical examination is actually much more complicated than imagined. It includes measuring the axillary temperature, calculating the respiratory rate, measuring the blood pressure of the right upper limb more than three times, observing the patient's complexion, development, nutrition, auscultating bowel sounds, etc.

It is by no means a simple matter of pressing twice on the painful part of the patient as shown on TV.

While Qiu Hong was doing a physical examination on the patient, Zhou Can picked up the patient's examination report and looked at it.

The first thing to check is the results of routine blood tests.

When a disease occurs in a person's body, at least 70% of the diseases will be mapped to the blood image to some extent.

The white blood cell count of this female patient was significantly increased, while the red blood cells and hemoglobin were lower than normal. The hematocrit also decreased significantly, and the erythrocyte sedimentation rate increased rapidly. Mucin increased and albumin decreased.

Just the blood test results were enough to confirm that she was sick.

There are so many blood abnormalities. From a doctor's professional perspective, this disease is not a minor illness.

Enteritis can only be considered a minor illness.

So, what is a more serious disease than enteritis?

Intestinal perforation should be ruled out because intestinal perforation is often accompanied by abdominal infection and the symptoms are much more severe.

Patients may also experience severe pain, high fever, and even chills.

Zhou Can then checked the stool test, which showed red and white blood cells, and the occult blood test was positive.

Most diseases are in the intestines.

CT examination showed no obvious abscess in the abdominal cavity.

Based on these examinations, the patient was diagnosed with common enteritis. The treatment plan and diagnosis results prescribed by her local hospital were correct.

"Zhou Can, did you find anything?"

Director Jia's name for Zhou Can changed unknowingly.

From Xiao Zhou to Zhou Can.

I don’t know whether it was because calling him Xiao Zhou in front of the patient was a bit disrespectful, or because Zhou Can discovered the hidden disease of the patient in bed 3 and felt that Zhou Can should be given a certain amount of respect.

All in all, this is a good sign.

At least when Director Jia called the beautiful doctor Qiu Hong, he didn't call her Xiaoqiu, but directly called her by her name.

"It's hard to say now because there is too little examination data. We can only roughly infer that the disease should occur in the intestines. It may be enteritis, but it is definitely not ordinary enteritis."

Zhou Can gave his own diagnostic opinion.

It would definitely be a bit difficult for him to directly give the diagnosis result.

He can narrow down the scope of the disease again and again, which is already very good.

"Not bad, your diagnostic ideas are not as impetuous as most young people, and are very practical. You are better than I thought."

This was the first time Director Jia praised him.

And it's in front of the patient.

It shows that he is very satisfied with Zhou Can's performance.

"The specific cause of her illness must be further determined by a colonoscopy." Director Jia also said this to the patient.

"Can I skip colonoscopy? I heard that it is very scary. I am afraid of pain, and I am even more afraid that the colonoscope will pierce my intestines!" The patient is very resistant to colonoscopy.

At the local hospital, the doctor may have already discussed with her about having a colonoscopy.

"You are going to have a colonoscopy, and there are a few risks. If you really don't want to have a colonoscopy, then let me do a barium enema examination! However, I personally suggest that it is more intuitive to have a colonoscopy."

Director Jia said to her.

"Well... I won't do it if I don't do it. One of my little sisters had a colonoscopy in the hospital and she was in pain for many days. Unless they give me a painless colonoscopy, then I can consider it."

She seemed a little childish.

In fact, most of these girls are kind-hearted, highly motivated, and cheerful.

At least they are more tolerant when they encounter difficulties.

Her ability to withstand pressure is much stronger than that of ordinary girls.

"You girl, you are already sick now, do you still care so much about the pain caused by the examination? Painless colonoscopy requires an appointment, and you have to wait for at least half a year. Your illness cannot be delayed for another day. Also, painless colonoscopy

Mirrors are also much more expensive, so why bother.”

Director Jia shook his head helplessly.

Today's young people are particularly unique, and their ideas are very different from those of the older generation.

Finally, after the patient completed her physical examination, Director Jia prescribed a barium enema examination for her.

She dragged her weak body to pay the fee and go for a check-up.

It looks very worrying. He is so seriously ill but has no parents or family to accompany him to the hospital.

I don't know what her family is like.

Some young people are very sensible. In order not to worry or burden their parents, when they are working hard outside, whether they are sick or encounter major setbacks at work, they have to bear it all by themselves.

It looks pitiful and heartbreaking.

…

Around 10:30 in the morning, Qiu Hong's cell phone rang.

"Doctor Tang, have the examination results of the third bed patient come out?"

Qiu Hong asked proactively.

It turned out to be a call from the doctor treating the patient in bed 3.

"Ah...it really is gallbladder cancer! The new doctor Zhou in our department is really amazing." Her beautiful face was full of shock, and she felt extremely incredible that Zhou Can could discover the patient's hidden disease without warning.

.

[Pathological diagnosis experience value +1.]

[You successfully diagnosed a difficult recessive disease, and the pathological diagnosis experience value is +100.]

101 pathological diagnosis experience points were received at once, which made Zhou Canle happy.

His efforts finally paid off handsomely.

Pathological diagnosis is currently at Level 4, which is the lower level of attending. If you want to be promoted to the level of Deputy Chief Physician, you need to earn 10,000 experience points. If you can only earn 1 point each time, he still doesn’t know how long it will take to master this profession in the Year of the Monkey and the Horse.

Medical skills were promoted to the level of deputy director.

After ending the call, the way she looked at Zhou Can completely changed.

"Teacher, there was a call from Dr. Tang just now, saying..." Before she could finish speaking, Director Jia waved his hand and said, "I heard it all. This kid Zhou Can really has his wits about him."

After he praised Zhou Can, he sighed slightly.

"Oh, gallbladder cancer is called the king of cancers, and the prognosis is very poor. This patient's condition is really critical. I'm afraid he has lost the chance of surgery. I will go to the MRI after I finish the outpatient service later.

Check the results!"
To be continued...